ContractAgent Activation Agreement • June 10th, 2020
Contract Type FiledJune 10th, 2020TravelPay – New Agent Activation Form This agreement dated (DD/MM/YYYY): is between the following parties in compliance with the terms and conditions overleaf: 1. TravelPay, a division of Zenpay Pty Ltd (ABN 63 056 881 942) of 5-9, 5 Rosebery Place, Balmain NSW 2041 (referred to in this agreement as we or us or Zenp y) and;2.ABNCompany Name/ Sole Trader/ Trust (e.g. XYZ Pty Ltd)(Referred to in this agreement as you or the Agent) ACN AGENT DETAILSAgency Name GroupStreet Address Suburb Postcode (No PO Boxes) ATAS Membership Number Mid Office Software Store Contact Name Role at AgencyStore Contact Email: Store Phone(Admin User Login) Number Beneficial Owner: Owner MobileNumber Beneficial Owner Driving Licence AND Passport Number: Identity: AGENT BANK ACCOUNT DETAILS Account Name Account Number BSB AGENT BENEFICIAL OWNER DECLARATIONI agree to enter into this agreement with Zenpay Pty Ltd ABN 63 056 881 942 to use the TravelPay product and authorise Zenpay